Erin Nicole Odom, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2768 Issued in AL

Practice address

202 Church St
Greenville, AL 36037-2606

Phone

(334) 382-6343

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Rose Chiropractic Inc.Group PAC ID 9436198181, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rose Chiropractic Inc.

  • Chiropractor
  • Montgomery, AL
  • NPI 1851589907
  Medicare reassignment Care Compare group NPD
• Stephens Chiropractic

  • Clinic/Center
  • Greenville, AL
  • NPI 1851527642
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1558086884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CHURCH ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372606",
            "telephone_number": "334-382-6343",
            "fax_number": "334-382-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHURCH ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372606",
            "telephone_number": "334-382-6343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2941B Zelda Rd # B",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361063721",
            "country_code": "US",
            "telephone_number": "334-264-7948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CHIROPRACTIC LICENSE",
            "identifier": "2768",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.balancedheatlhcw.com",
            "affiliation": "N",
            "address_1": "202 Church St",
            "city": "Greenville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360372606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Reynolds Moss, CRNP
• Kathleen Ann Murphy, LICSW
• N D a of Alabama
• Nda of Alabama, Inc.
• Norman F. McGowin III MD PC
• Aericka Oneal
• Fortunate Ehi Ovbiagele, M. D.
• Loletta Palmer
• Keldrian Pate
• Kanu J Patel, MD

• Chiropractor in Greenville, AL
• Providers in Greenville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.